Mendocino County Grand Jury
• 2013-2014
• Agency Response
4.2 Privatization of Mental Health Delivery Services*
⚠️ Translation Notice: This content has been automatically translated. The original English text is the official version. Translation may contain errors.
⚠️ Este contenido ha sido traducido automáticamente. El texto original en inglés es la versión oficial. La traducción puede contener errores.
Findings and Recommendations 12 findings
F1
The Grand Jury, in reviewing the provision of mental health services through privatization, found a serious omission in the preparation of the contract. The current contract does not provide for the continuing care of Level 3 mentally ill clients.
No recommendations for this finding
F2
Level 3 clients are often not capable of carrying out their treatment plans as set forth in "Continuing Care."
Related Recommendations (1)
R2
Upon release from jail, a process already exists with Ortner Management Group to do "warm handoffs" of the severely mentally ill. Creating an MOU requires additional analysis to determine if the current contract needs to be altered. This analysis would be the responsibility of County of Mendocino Department of Mental Health.
F3
There is a connection between substance abuse and mental illness. The County Jail is not a mental health facility, resulting in law enforcement having to deal
Related Recommendations (1)
R3
The Sheriff's Office has had a preliminary meeting with Director Stacy Cryer about having County of Mendocino Department of Mental Health be first responders. This issue still needs additional analysis and assessment as to the feasibility of taking over calls for service involving a mental health crisis. Recommendations numbered xxx will not be implemented because they are not warranted or are not reasonable. Attach an explanation Date: 08-05-2015 Signature: Thomas D. Allman, Sheriff-Coroner Number of pages attached: 9 . PRIVATIZATION OF MENTAL HEALTH DELIVERY SERVICES June 9, 2014
F4
with individuals they have the least training to assist.
No recommendations for this finding
F5
Inmates, who have been successfully treated with anti-psychotic medication while incarcerated, cannot continue their medication or treatment until their Medi-Cal is reinstated, which is part of the release process.
No recommendations for this finding
F6
The Grand Jury found the performance by Ortner to be improving the delivery of adult mental health services for Levels 1 and 2 clients, who are the least impaired. 5 of 9
No recommendations for this finding
F7
After nine months of transition, Ortner is not contractually required to provide, nor does it provide, Level 3 mentally ill clients with adequate wraparound resources (housing, transportation, education, and staff training) for the continuum of care.
No recommendations for this finding
F8
Documentation reviewed by the Grand Jury showed that routine services required to be in place within 30 days were not available six months after the Ortner contract was active.
No recommendations for this finding
F9
Calls to 911 for mental health crises are not referred directly to an access center when no crime is reported.
No recommendations for this finding
F10
Variation in the reimbursement for Medi-Cal amounts from year-to-year hampers efficient management of services to the clients.
No recommendations for this finding
F11
The discrepancy of approximately $12,000,000 between the billing and payment for the 2009-2010 Medi-Cal reimbursement remains unresolved.
No recommendations for this finding
F12
The County is not complying with the intent of State law.
No recommendations for this finding
* This report's PDF did not contain easily extractable text and required Optical Character Recognition (OCR) for analysis. There may be minor errors in the extracted findings and recommendations due to OCR limitations with scanned documents.